Fri Oct 04 2024

64 articles - From Friday Sep 27 2024 to Friday Oct 04 2024

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Guidelines

Guidelines and related publications, position statements, white papers, technical reviews, consensus statements, etc…


Meta-analysis

meta-analyses and systematic reviews

Am J Gastroenterol

Participation and Yield in Multiple Rounds of Colorectal Cancer Screening based on Fecal Immunochemical Test: A Systematic Review and Meta-Analysis.

In population-based CRC screening programs, the participation exhibited a slow upward trend for both screening strategies, but the incremental benefits in CRC detection gradually diminished. Tailored strategies, such as extending intervals for individuals with multiple negative FIT results, might optimize effectiveness and cost-efficiency in population-based CRC screening.

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Original articles

RCT, clinical trials, retrospective studies, etc…

Aliment Pharmacol Ther

Eight-year efficacy and safety of tenofovir alafenamide for treatment of chronic hepatitis B virus infection: Final results from two randomised phase 3 trials.

Long-term TAF treatment exhibited favourable safety and tolerability with high rates of viral suppression and no development of resistance. numbers NCT01940341 and NCT01940471.

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Timely Follow-Up After a First Diagnosis of Cirrhosis is Associated With Reduced Mortality but No Impact on Rehospitalisations: A Population-Based Cohort of 8852 Patients.

In Sweden, 42% of hospitalised patients with newly diagnosed cirrhosis receive outpatient follow-up within 90 days of their hospital discharge. These patients may experience lower mortality but no change in rehospitalisations within 1 year.

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Am J Gastroenterol

A chronic hepatitis B identification and surveillance program improves care in an integrated health plan.

In this integrated healthcare system, a systematic program for surveilling and managing patients with CHB appeared beneficial for both process and clinical endpoints.

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Cost-Effectiveness Analysis of Current Treatment Options for Eosinophilic Esophagitis.

SFED was the most effective/least costly first-line therapy from payer perspective, while PPI was more cost-effective from societal perspective. PPI is also the most cost-effective pharmacologic strategy. Dupilumab requires substantial cost reductions to be considered cost-effective first-line pharmacotherapy.

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Diagnosis and Management of Inflammatory Bowel Disease Associated Spondyloarthritis.

For diagnosis of IBD-associated axial SpA (IBD-axSpA), we recommend rheumatology referral to make the diagnosis based on incorporation of symptoms, laboratory data, imaging findings (sacroiilitis) and available diagnostic criteria. For the management of axial SpA, we recommend co-management with rheumatology and use of either anti-tumor necrosis factor agents or janus kinase inhibitors, when applicable.

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Gallstone disease is associated with an increased risk of inflammatory bowel disease: results from three prospective cohort studies.

Gallstone disease was linked to an increased risk of IBD and its subtypes, independent of traditional risk factors. Further research is needed to confirm these associations and clarify the underlying biological mechanisms.

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Health state utility is substantially reduced with an increasing burden of patient-reported symptoms in eosinophilic esophagitis.

EoE is associated with reduced health state utility, with symptoms most strongly predicting valuation.

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Liver Dysfunction and Systemic Inflammation Drive Organ Failures in Acute Decompensation of Cirrhosis: A Multi-Centric Study.

Approximately one-third of AD patients in this Indian cohort rapidly progressed to ACLF, resulting in high mortality. Early identification of patients at risk can guide targeted interventions to prevent ACLF.

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Clin Gastroenterol Hepatol

Efficacy and Safety of Upadacitinib for Perianal Fistulizing Crohn's Disease: A Post Hoc Analysis of 3 Phase 3 Trials.

Patients with fistulizing disease (primarily perianal) treated with upadacitinib achieved higher rates of resolution of drainage, closure of external openings, clinical remission, and endoscopic response vs placebo. numbers U-EXCEL (NCT03345849), U-EXCEED (NCT03345836), U-ENDURE (NCT03345823).

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Risk of recurrence in screen-versus non screen-detected colorectal cancer patients.

Disease-free survival was significantly better in screen-detected compared to non-screen-detected CRCs independent of age, gender, tumor location, stage and treatment, and was associated with an overall survival benefit.

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Gastroenterology

Multimodal profiling of peripheral blood identifies proliferating circulating effector CD4+ T cells as predictors for response to integrin α4β7-blocking therapy in inflammatory bowel disease.

These findings provide a reliable predictive classifier with significant implications for personalized IBD management.

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Gastrointest Endosc

Repeated Endoscopic Dilation and Needle Knife Stricturotomy for Crohn's Disease Strictures.

Crohn's disease stricture treatment with repeat dilations or stricturotomy is feasible, safe and may improve stricture outcomes. Concurrent intensified drug treatment to eliminate inflammation is also associated with improved outcome.

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Gut

Establishment of enterically transmitted hepatitis virus animal models using lipid nanoparticle-based full-length viral genome RNA delivery system.

This stable and standardised LNP-vRNA-based animal model provides a powerful platform to investigate the pathogenesis and evaluate countermeasures for enterically transmitted hepatitis viruses and can be further expanded to other viruses that are not easily cultured in vitro or in vivo.

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Impact of margin thermal ablation after endoscopic mucosal resection of large (≥20 mm) non-pedunculated colonic polyps on long-term recurrence.

LNPCPs that have undergone successful EMR with MTA and are free of recurrence at SC1 are unlikely to develop recurrence in subsequent surveillance out to 2 years. Provided the colon is cleared of synchronous neoplasia, the next surveillance can be potentially extended to 3-5 years. Such an approach would reduce costs and enhance patient compliance.

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Nuclear translocation of plasma membrane protein ADCY7 potentiates T cell-mediated antitumour immunity in HCC.

We delineate the unconventional function and subcellular location of ADCY7, highlighting its pivotal role in T cell-mediated immunity in HCC and its potential as a promising treatment target.

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Spatial single-cell profiling and neighbourhood analysis reveal the determinants of immune architecture connected to checkpoint inhibitor therapy outcome in hepatocellular carcinoma.

Progression-free survival under ICI therapy differed significantly between the spatial immune types with improved survival of enriched patients. In patients with intratumour heterogeneity, the presence of one enriched area governed long-term survival.

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p53 mutation biases squamocolumnar junction progenitor cells towards dysplasia rather than metaplasia in Barrett's oesophagus.

p53 mutation contributes to BE progression by increasing expansion and fitness of undifferentiated cardia progenitors and preventing their differentiation towards metaplasia.

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Hepatology

Integrated ubiquitomics characterization of hepatocellular carcinomas.

This study expands our knowledge of ubiquitomic signatures, biomarkers, and potential therapeutic targets in HCC.

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LncRNA H19 promoted alcohol-associated liver disease through dysregulation of alternative splicing and methionine metabolism.

This study identifies a novel mechanism whereby H19, via PTBP1-mediated BHMT regulation, influences methionine metabolism in ALD. Targeting the H19-PTBP1-BHMT pathway may offer new therapeutic avenues for ALD.

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J Hepatol

Association of metabolic signatures of air pollution with MASLD: Observational and Mendelian randomization study.

Annual mean concentrations of PM increase the risk of MASLD. Focusing on changes in air pollution-related metabolic signatures may offer a new perspective for preventing air pollution-induced MASLD and serve as protective measures to address this emerging public health challenge.

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Decreases in cT1 and liver fat content reflect treatment-induced histological improvements in MASH.

These results, from three combined drug trials, demonstrate that changes in multiparametric MRI markers of liver health (cT1 and PDFF) can predict histological response for steatohepatitis following therapeutic intervention. Impact and implications There is great interest in identifying suitable biomarkers that can be used to replace liver biopsy, or to identify those patients who would benefit from one, in both the clinical management of MASH and in drug development. We investigated the utility of two MRI-derived non-invasive tests, iron corrected T1 mapping (cT1) and liver fat content from proton density fat fraction (PDFF), to predict histological improvement in patients who had undergone experimental treatment for MASH. Using data from 150 people who participated in one of three clinical trials, we observed that a reduction in cT1 by over 80 ms and a relative reduction in PDFF of over 58% were the optimal thresholds for change that predicted resolution of steatohepatitis. PDFF as a marker of liver fat, and cT1 as a specific measure of liver disease activity, are both effective at identifying those who are likely responding to drug interventions and experiencing improvements in overall liver health. Clinical trial number(s) NCT02443116, NCT03976401, NCT03551522.

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Hepatocyte Aquaporin 8-mediated Water Transport Facilitates Bile Dilution and Prevents Gallstone Formation in Mice.

AQP8 plays a crucial role in facilitating water transport and bile dilution during hepatic bile formation, thereby mitigating gallstone formation in mice. Small-molecule intervention validated hepatocyte AQP8 as a promising drug target for gallstone therapy. Impact and implications The incidence of gallstone disease is high, and current drug treatments for gallstones are very limited, necessitating the identification of novel drug targets for developing new drugs with universal applicability. To our knowledge, this is the first study to provide direct evidence that hepatic water channel AQP8 plays a key role in bile dilution and gallstone formation. Modulation of hepatic water transport may provide a universal therapeutic strategy for al types of gallstone diseases.

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Reviews&Editorials

Plenty of the editorials are available as full text through the publisher website using the provided link

Endoscopy

ESGE and ESGENA - A Growing and Successful Partnership!

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Endoscopy E-Videos - recently published.

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Gastroenterology

It Runs in the Family: What Studying Unaffected Individuals in Simplex and Multiplex Families Tells Us About IBD Development.

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Surveillance for hepatocellular carcinoma in cirrhosis: End of monopoly for serum alpha fetoprotein.

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Gastrointest Endosc

Beyond borders: When will Western countries follow Japanese progress in endoscopic diagnosis and treatment of superficial pharyngeal cancer?

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J Hepatol

Bile acid metabolism and signaling in liver disease.

Additionally, impaired BA signaling may also affect the intestine and kidney, thereby contributing to failure of gut integrity driving the progression and complications of portal hypertension, cholemic nephropathy and the development of extrahepatic malignancies such as colorectal cancer. This review will summarize recent advances in the understanding of BA signaling, metabolism and transport focusing on transcriptional regulation and novel BA-focused therapeutic strategies for cholestatic and metabolic liver diseases.

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Miscellaneous

misc publications eg case reports, tools of the trade, images of the month, etc…

Am J Gastroenterol

A Case of Ileal Follicular Lymphoma Mimicking a Laterally Spreading Tumor.

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A Practical Approach to the Management of Incidentally Found Gastrointestinal Neuroendocrine Tumors.

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Addressing Additional Limitations in the Study on Small Intestine Cancer Risk in Patients With Inflammatory Bowel Disease.

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Calendar of Courses, Symposiums and Conferences.

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Correction to: How Did It Get So Difficult to Care for Patients With Inflammatory Bowel Disease?

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Esophagogastric junction outflow obstruction or Something More? Unveiling Esophageal Neuroendocrine carcinoma.

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Lessons From COBALT: Will the Bell Also Toll for Thee?

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Minding Reflux.

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Overweight and Obesity-Associated Gastric Cancer Among Non-Asians.

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Pancreatitis as a Matter of Fat: The Causal Role of High Intrapancreatic Fat Deposition.

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Rectal Insertion of Live Eels Resulted in Colon Perforation.

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Response to Hobai.

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Response to Vollebregt et al.

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Study Design 101: Estimation of Treatment Effects in RCTs Should Be Based on Between-Arm Contrasts, Not Observed Outcome Changes Within Treatment Arms.

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Supradiaphragmatic Gastric Monodermal Teratoma With Bronchus-Like Structures.

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Clin Gastroenterol Hepatol

Endoscopic Submucosal Dissection Provides Hemostasis by Curative Resection for a Large Bleeding and Obstructive Duodenal Lipoma.

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Endoscopy

A novel fluoroscopic system improves visibility of devices during endoscopic ultrasound-guided pancreatic duct drainage.

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First report of the use of a digital single-operator cholangioscope for endoscopic direct diverticulitis therapy.

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Oxidized regenerated cellulose combined with hyperbaric oxygen therapy successfully managed delayed bleeding after peroral endoscopic myotomy for achalasia.

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Revisiting the novel traction technique: the monorail method with clip-line traction.

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Gastroenterology

A brain-gut pathway for stress-induced microbiome changes.

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The Impact of Population-Based Helicobacter pylori Test-To-Treat Strategies on Gastric Cancer Outcomes.

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Gastrointest Endosc

Colonic neoplasm infiltrating peritoneum and ureter: a rare case of intestinal schistosomiasis.

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Magnifying endoscopy in the esophagus and stomach.

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Hepatology

Geographical and molecular disparity of HBV integration: Implications for hepatocarcinogenesis and clinical outcomes in HCC.

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Letter to the Editor: Should NAFLD be automatically relabeled as MASLD?

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Reply: Should NAFLD be automatically be relabeled as MASLD?

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Letters&Replies

Letters to the editors and authors’ replies

Aliment Pharmacol Ther

GLP-1 receptor agonists: A new frontier in combating metabolic liver disease complications.

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Letter: Prospective evaluation of patients with non-cirrhotic portal hypertension-A single centre study. Authors' reply.

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Letter: Prospective evaluation of patients with non-cirrhotic portal hypertension: A single-centre study.

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Endoscopy

Comments on the use of electrohydraulic lithotripsy to treat pill impaction in the esophagus in two adults.

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Risk of metachronous colorectal cancer in patients with diverticular disease.

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The topic of linked color imaging versus white-light imaging needs more rigorous research.

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J Hepatol

Critical Perspectives on the Efficacy of PegIFN Alpha-2a: Beyond Initial Findings.

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Immune checkpoint inhibitor therapy for functional cure of hepatitis B in cancer patients: a promising strategy?

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